2026 IGHO Medical Mission Team (Spring) Application

Which IGHO medical trips are you applying for?

Please check all that applies.

Lima, Peru (4/10-4/18)

Tijuana, Mexico (5/16)

Birthdate *

Phone number *

Marital status *

Address *

Occupation *

Passport Number (Also please note if not US passport) *

Passport Expiration Date *

Medical note

Emergency Contact Name and Relationship *

Emergency Contact Phone Number *

Emergency Contact Email *

Your home church is? *

Church of Southland, Anaheim

Church of Southland, Chino

Other AMI church

Why do you want to go on a mission trip? *

Previous Mission Experience *

When and how did you accept Christ? *

Serving experiences at church *

Please list all your spiritual talents or giftings *

(ex. Administration, Helps, Leadership, Tongues, Interpretation of Tongues, Praise and worship, Word of Knowledge, Prophecy, Faith, Healing, etc.)

What are your strengths and weaknesses? *

Please describe your spiritual discipline. *

Please list your current cell leader and their email. *

(Also indicate if you are yourself a cell leader, zone leader or pastoral staff)

Please describe your evangelization practice. *

I attest that I am a member of Church of Southland and that the following applies to me. *

Please check all that applies

I regularly attend Sunday services at COS and tithe.

I am a current active member of a cell group in COS

I have taken Experiencing God discipleship

I have attended Encounter retreat

I have not met all the requirements of the church membership, but plan to shortly.

I am a member of another AMI church

Don't forget to forward your reference form to your cell leader. (Cell leaders, Zone leaders & Pastoral staff exempted.)